Radiofrequency Denervation of the lumbar facet joints

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Radiofrequency Denervation of the lumbar facet joints"

Transcription

1 Oxford University Hospitals NHS Trust Outpatient Pain Service Radiofrequency Denervation of the lumbar facet joints Information for patients

2 What is radiofrequency denervation of the lumbar facet joints? Radiofrequency denervation is a specialised injection, which uses heat to alter the function of the nerves that supply the facet joints in your back. These nerves transmit the pain signals from these joints to your brain. The procedure is carried out using X-rays to guide the injection, in a similar way to the diagnostic tests. Radiofrequency denervation of the nerves is performed by placing special needles alongside the nerves to the facet joints, then passing an electrical current through each needle. This creates heat at the needle tip, which results in a change to the structure and function of the nerve. This can lead to a reduction of pain. What are the risks and side effects of radiofrequency denervation? The risks most commonly encountered with this procedure are: 1. pain after the procedure 2. no reduction in your pain 3. the risk of nerve injury this is rare (a less than 1 in 10,000 chance). 4. a small risk of feeling faint during or after the procedure. We will be monitoring your heart rate and blood pressure throughout the treatment and, if necessary, we will give you intravenous fluids to help with this. 5. infection. page 2

3 What to do on the morning of your radiofrequency denervation You will need to have someone to bring you to hospital and take you home from the appointment. You should not go home on public transport after this procedure. You will need to be taken home by car. This will be more comfortable for you and also quicker for you to return to the hospital if there are any complications on the journey home. If you do not have someone to drive you home, we will need to cancel the appointment. You will be at the pain clinic for about 3 hours in total. You will not be staying overnight in the hospital. Please do not wear any jewellery, as this can affect the X-ray images that we see on the screen. It is important that you arrive at the pain clinic at the appointment time. Due to the number of people we need to see each day, if you are late we will not be able to carry out the treatment. Please allow plenty of time for your journey and to park, as the hospital car parks can be very busy. It is possible that you will need to take time off work after the procedure, to recover. We will let you know how long you may need to take off work when you come for the procedure. page 3

4 What happens during the radiofrequency denervation? When you arrive at the department you will be taken upstairs to the treatment area by one of the nursing staff. The person who has accompanied you won t be allowed in the treatment area, but they can wait in the waiting area. One of the nurses will complete the pre-procedure assessment documentation with you. You will need to let the nurse or doctor know if: you are allergic to anything (e.g. local anaesthetic, steroids, iodine or sticking plasters) you are taking or have recently taken antibiotics for an infection you are taking any medicines to thin your blood, such as warfarin, aspirin, ticlopidine, sinthrone or clopidogrel you feel unwell on the day you have any other serious medical conditions you have had surgery for any other medical problems in the last 3 months you have any metalwork or electrical devices implanted in your body (e.g. joint replacement or pacemaker). If you are a woman aged between 12 and 55 years old we will need you to fill in a form to confirm that you are not likely to be pregnant. This is because X-rays can harm unborn children. One of the nurses will ask you to change into a theatre gown. When you are changed, you will be shown into the treatment room. The doctor will ask you to sign a consent form to confirm you are happy with the procedure going ahead. If there is anything you are unsure about, or if you have any questions, please ask the doctor or nurse before signing the consent form. page 4

5 We will put a cannula (small tube) into your hand, which will be used if we need to give you fluids or medication during the procedure. We will also connect you to monitors to check your heart rate and blood pressure throughout the procedure. You will be asked to lie on your front on the treatment bed. The doctor will inject local anaesthetic into the area of your back that is to be treated, to numb your skin. You may feel a slight stinging when this is done, but your skin will soon go numb. Once your skin has gone numb, the doctor will place the needles in position, close to the facet joints, using the X-ray images to guide them. When the needles are in place, the nerves to the facet joints will be stimulated by a light electrical current; this makes sure the needles are in the right place. You will feel a tingling sensation or a deep ache in your back when this is carried out. For this reason you need to be awake during the procedure, as you will need to tell the doctor when you can feel this sensation. When the doctor is confident that the needles are in the right position, they will give you more local anaesthetic. The radiofrequency denervation will then be carried out. You may feel a little pain when this is done. Your pain will be assessed throughout the procedure, and we can give you additional pain relief if needed. How long will the procedure take? The procedure will take approximately 45 minutes. However, the total time you will be in the department will be approximately 3 hours. This allows us to book you in, check your details and for you to rest afterwards. page 5

6 What happens after the procedure? You may experience some pain in your back after the procedure. Take your usual painkillers and use an ice pack. Ice packs should not be placed directly in contact with your skin as this can cause a burn. Place a flannel or towel between the ice pack and your skin. Please check the colour of your skin 5 minutes after applying the ice pack. If it is bright pink or red, remove the ice pack. If it is not pink, the ice pack can be applied for a further 5-10 minutes. This can be repeated every 2-3 hours. Please do not use an ice pack for more than 20 minutes at a time, as it is unlikely to have any benefit and may cause damage to your skin. Do not be concerned if the pain continues for up to 2 weeks after the procedure, this is normal. There is a small chance that your original back pain may increase for this period of time. Although this treatment can give you a good level of pain relief, it is not likely to completely relieve your pain. If the treatment is successful, you are likely to experience a 50-80% reduction in your pain. The success rate for this procedure is between 60-65% (60-65 people out of 100 will have a good level of pain relief). We will arrange a telephone appointment with one of the nurses, approximately 8 weeks after the procedure. They will ask you a series of questions to work out how effective the procedure has been. Signs and symptoms to look out for If you notice any redness or swelling around the area where the needles were inserted, or you have any other concerns after you return home, please contact your GP. page 6

7 What if my pain improves? The effects of the procedure can last from 8 to 24 months. If, after this time, your pain returns, we may be able to repeat the procedure. If you start to experience pain relief, you can gradually increase your activities. Please note: If you experience pain relief, it is important to remember that you still have the underlying problem that caused the pain. We have treated many people who have felt better and have returned to activities such as moving furniture, painting the house, etc. These people have had their pain return very quickly sometimes within days of feeling better. Do not start off by doing all of the activities that you have been unable to do because of the pain. It is important to take part in a physiotherapy and/or gradual exercise program, to strengthen the surrounding and supporting muscles that have not been used while you have had pain. What if the procedure does not help my pain? Unfortunately, this procedure does not work for everyone, despite the diagnostic testing procedures carried out beforehand. If the procedure doesn t work for you, we will have to think carefully of the next step, but it may be there is nothing more that we can offer you. The doctor who referred you for this procedure will be notified of the results, and you will be reviewed by one of the consultants in clinic. page 7

8 How to contact us If you have any questions or need any further information, please contact: Pain Relief Unit Nurse Advice voic Tel: Please leave a message and one of the nursing staff will return your call within two working days. For urgent advice please contact your GP or NHS 111 (dial 111 freephone from mobiles and landlines). For appointment enquiries Tel: (Monday to Friday, 8.30am to 5.00pm) If you have a specific requirement, need an interpreter, a document in Easy Read, another language, large print, Braille or audio version, please call or Author: Oxford Pain Team 2015 August 2015 Review: August 2018 Oxford University Hospitals NHS Trust Oxford OX3 9DU OMI 12421P

Oxford Centre for Respiratory Medicine Bronchial-Artery Embolisation Information for patients

Oxford Centre for Respiratory Medicine Bronchial-Artery Embolisation Information for patients Oxford Centre for Respiratory Medicine Bronchial-Artery Embolisation Information for patients This leaflet tells you about the bronchial-artery embolisation procedure. It explains what is involved and

More information

Physiotherapy Department Acute Neck Pain a guide to help your recovery

Physiotherapy Department Acute Neck Pain a guide to help your recovery Oxford University Hospitals NHS Trust Physiotherapy Department Acute Neck Pain a guide to help your recovery Information for patients Most acute neck injuries are not serious and the pain will improve

More information

Venefit treatment for varicose veins

Venefit treatment for varicose veins Oxford University Hospitals NHS Trust Venefit treatment for varicose veins Information for patients Your consultant has recommended that we treat your varicose veins with a procedure known as Venefit radio

More information

Removal of the Submandibular Salivary Gland

Removal of the Submandibular Salivary Gland Department of Oral and Maxillofacial Surgery Removal of the Submandibular Salivary Gland Information for patients This leaflet will help you understand your treatment and should answer many of the questions

More information

Headache after an epidural or spinal injection What you need to know. Patient information Leaflet

Headache after an epidural or spinal injection What you need to know. Patient information Leaflet Headache after an epidural or spinal injection What you need to know Patient information Leaflet April 2015 We have produced this leaflet to give you general information about the headache that may develop

More information

Image-guided abdominal drain insertion Information for patients

Image-guided abdominal drain insertion Information for patients Oxford University Hospitals NHS Trust Image-guided abdominal drain insertion Information for patients What is an image-guided abdominal drain insertion? A drain is a thin plastic tube which is inserted

More information

What should I expect before the procedure?

What should I expect before the procedure? The British Association of Urological Surgeons 35-43 Lincoln s Inn Fields London WC2A 3PE Phone: Fax: Website: E- mail: +44 (0)20 7869 6950 +44 (0)20 7404 5048 www.baus.org.uk admin@baus.org.uk PROCEDURE-

More information

The injection contains a local anesthetic for pain control and a steroid to reduce inflammation.

The injection contains a local anesthetic for pain control and a steroid to reduce inflammation. Caudal Steroid Injection A Caudal Steroid Injection is done to provide pain relief. The injection provides pain relief by reducing swelling and irritation around nerve roots at the base of the spine or

More information

Hand & Plastics Physiotherapy Department Carpal Tunnel Syndrome Information for patients

Hand & Plastics Physiotherapy Department Carpal Tunnel Syndrome Information for patients Oxford University Hospitals NHS Trust Hand & Plastics Physiotherapy Department Carpal Tunnel Syndrome Information for patients page 2 What is the Carpal Tunnel? The carpal tunnel is made up of the bones

More information

Women s Health. The TVT procedure. Information for patients

Women s Health. The TVT procedure. Information for patients Women s Health The TVT procedure Information for patients What is a TVT procedure? A TVT (Tension-free Vaginal Tape) procedure is an operation to help women with stress incontinence the leakage of urine

More information

Department of Gynaecology Early medically induced termination of pregnancy. Information for patients

Department of Gynaecology Early medically induced termination of pregnancy. Information for patients Department of Gynaecology Early medically induced termination of pregnancy Information for patients Medically induced termination of pregnancy In this procedure the termination of pregnancy is brought

More information

Day Case Unit, Horton General Hospital Information and advice following a surgical procedure under spinal anaesthetic

Day Case Unit, Horton General Hospital Information and advice following a surgical procedure under spinal anaesthetic Oxford University Hospitals NHS Trust Day Case Unit, Horton General Hospital Information and advice following a surgical procedure under spinal anaesthetic What is a spinal anaesthetic? Spinal anaesthesia

More information

Your anaesthetist may suggest that you have a spinal or epidural injection. These

Your anaesthetist may suggest that you have a spinal or epidural injection. These Risks associated with your anaesthetic Section 11: Nerve damage associated with a spinal or epidural injection Your anaesthetist may suggest that you have a spinal or epidural injection. These injections

More information

GreenLight laser prostatectomy

GreenLight laser prostatectomy Ambulatory Care & Local Networks GreenLight laser prostatectomy Information for day surgery patients This information sheet answers some of the questions you may have about having a GreenLight laser prostatectomy.

More information

Your spinal Anaesthetic

Your spinal Anaesthetic Your spinal Anaesthetic Information for patients Your spinal anaesthetic This information leaflet explains what to expect when you have an operation with a spinal anaesthetic. It has been written by patients,

More information

Local anaesthesia for your eye operation

Local anaesthesia for your eye operation Local anaesthesia for your eye operation Information for patients and families. www.anaesthesia.ie 1 This information leaflet is for anyone expecting to have an eye operation with a local anaesthetic.

More information

Glaucoma filtration surgery (Trabeculectomy)

Glaucoma filtration surgery (Trabeculectomy) Oxford Eye Hospital Glaucoma filtration surgery (Trabeculectomy) Information for patients This leaflet gives you information that will help you decide whether to have glaucoma surgery. You might want to

More information

Laparoscopic Hysterectomy

Laparoscopic Hysterectomy Any further questions? Please contact the matron for Women s Health on 020 7288 5161 (answerphone) Monday - Thursday 9am - 5pm. For more information: Royal College of Obstetrics and Gynaecology Recovering

More information

Varicose Veins Operation. Patient information Leaflet

Varicose Veins Operation. Patient information Leaflet Varicose Veins Operation Patient information Leaflet 22 nd August 2014 WHAT IS VARICOSE VEIN SURGERY (HIGH LIGATION AND MULTIPLE AVULSIONS) The operation varies from case to case, depending on where the

More information

Patient Information. Lumbar Spine Segmental Decompression. Royal Devon and Exeter NHS Foundation Trust

Patient Information. Lumbar Spine Segmental Decompression. Royal Devon and Exeter NHS Foundation Trust Lumbar Spine Segmental Decompression Royal Devon and Exeter NHS Foundation Trust Patient Information Lumbar Spine Segmental Decompression Reference Number: TO 05 004 004 (version date: June 2015) Introduction

More information

Rib fractures and chest injury

Rib fractures and chest injury Oxford University Hospitals NHS Trust Rib fractures and chest injury Information for patients Introduction This leaflet will give you information about the injury to your chest wall, including: fractured

More information

Primary and revision lumbar discectomy. (nerve root decompression)

Primary and revision lumbar discectomy. (nerve root decompression) Primary and revision lumbar discectomy (nerve root decompression) The aim of this leaflet is to help answer some of the questions you may have about having a lumbar discectomy. It explains the benefits,

More information

The Radiotherapy Department Radiotherapy to the chest wall and lymph nodes

The Radiotherapy Department Radiotherapy to the chest wall and lymph nodes Oxford University Hospitals NHS Trust The Radiotherapy Department Radiotherapy to the chest wall and lymph nodes Information for patients Introduction This leaflet is for people who have had surgery for

More information

Department of Oral and Maxillofacial Surgery and Orthodontics Removing wisdom teeth Information for patients

Department of Oral and Maxillofacial Surgery and Orthodontics Removing wisdom teeth Information for patients Department of Oral and Maxillofacial Surgery and Orthodontics Removing wisdom teeth Information for patients The information in this leaflet will help you to understand your treatment. It contains answers

More information

An operation for prolapse Colpocleisis

An operation for prolapse Colpocleisis Saint Mary s Hospital Gynaecology Service Warrell Unit An operation for prolapse Colpocleisis Information for Patients What is a prolapse? A prolapse is a bulge or lump in the vagina caused by sagging

More information

Copper intra-uterine device (IUD)

Copper intra-uterine device (IUD) Oxford University Hospitals NHS Trust Copper intra-uterine device (IUD) Page What is an inter-uterine device? 3 How does it work? 4 Would an IUD be suitable for me? 5 Are there any risks or complications?

More information

Endovenous Laser Therapy

Endovenous Laser Therapy Information for patients Endovenous Laser Therapy Northern General Hospital You have been given this leaflet because you will be having Endovenous Laser Therapy (EVLT). This leaflet explains more about

More information

Patient Information for Lumbar Spinal Fusion. What is a lumbar spinal fusion? Page 1 of 5

Patient Information for Lumbar Spinal Fusion. What is a lumbar spinal fusion? Page 1 of 5 Patient Information for Lumbar Spinal Fusion What is a lumbar spinal fusion? You have been offered surgery to the lumbar region of your spine, your lower back. The operation is called a lumbar spinal fusion.

More information

Minor Lid Surgery. Information for patients

Minor Lid Surgery. Information for patients Minor Lid Surgery Information for patients This leaflet has been produced to give you information about the problems you have been having with your eyelid. If you have any questions or require further

More information

Glaucoma filtration surgery (Tube surgery)

Glaucoma filtration surgery (Tube surgery) Oxford Eye Hospital Glaucoma filtration surgery (Tube surgery) Information for patients page 2 This leaflet gives you information that will help you decide whether to have glaucoma tube surgery. You might

More information

Botox treatment for an overactive bladder in women. Information for patients Gynaecology

Botox treatment for an overactive bladder in women. Information for patients Gynaecology Botox treatment for an overactive bladder in women Information for patients Gynaecology What is bladder overactivity (OAB)? Bladder overactivity is a common condition, affecting around one in five people.

More information

Understanding your Peripherally Inserted Central Catheter (PICC) Patient Information

Understanding your Peripherally Inserted Central Catheter (PICC) Patient Information Understanding your Peripherally Inserted Central Catheter (PICC) Patient Information The Purpose of this Information Sheet This information sheet has been written by patients, members of the public and

More information

Having a circumcision information for men

Having a circumcision information for men Having a circumcision information for men This leaflet aims to answer your questions about having a circumcision. It explains the benefits, risks and alternatives, as well as what you can expect when you

More information

Stapedectomy / Stapedotomy / Surgery for Otosclerosis

Stapedectomy / Stapedotomy / Surgery for Otosclerosis Patient information Stapedectomy / Stapedotomy / Surgery for Otosclerosis Ear, Nose and Throat Directorate PIF 230 V6 Your Consultant / Doctor has advised you to have a Stapedectomy / Stapedotomy / Surgery

More information

Peripherally Inserted Central Catheter (PICC) for Outpatient

Peripherally Inserted Central Catheter (PICC) for Outpatient Peripherally Inserted Central Catheter (PICC) for Outpatient Introduction A Peripherally Inserted Central Catheter, or PICC line, is a thin, long, soft plastic tube inserted into a vein of the arm. It

More information

UNDERGOING OESOPHAGEAL STENT INSERTION

UNDERGOING OESOPHAGEAL STENT INSERTION UNDERGOING OESOPHAGEAL STENT INSERTION Information Leaflet Your Health. Our Priority. Page 2 of 5 Introduction This leaflet tells you about the procedure known as oesophageal stent insertion, explains

More information

OGD (Gastroscopy) Information for patients. Liver, Renal & Surgery. Confirming your identity

OGD (Gastroscopy) Information for patients. Liver, Renal & Surgery. Confirming your identity Liver, Renal & Surgery OGD (Gastroscopy) Information for patients This leaflet answers some of the questions you may have about having an OGD. It explains the risks and the benefits of the test and what

More information

Name of procedure: Squint Surgery (Child)

Name of procedure: Squint Surgery (Child) Eye Surgery Surgical procedure information leaflet Name of procedure: Squint Surgery (Child) This leaflet is for parents whose child has a squint that may be helped by an operation. In this leaflet we

More information

Periurethral bulking agent for stress urinary incontinence (macroplastique)

Periurethral bulking agent for stress urinary incontinence (macroplastique) PLEASE PRINT WHOLE FORM DOUBLE SIDED ON YELLOW PAPER Patient Information to be retained by patient affix patient label Who is this leaflet for? This leaflet provides information about having an injection

More information

Information for patients attending appointments at King s College Hospital only

Information for patients attending appointments at King s College Hospital only Ambulatory Care & Local Networks Laser iridotomy Information for patients attending appointments at King s College Hospital only This leaflet answers some of the questions you may have about having laser

More information

Enhanced recovery after laparoscopic surgery (ERALS) programme: patient information and advice 2

Enhanced recovery after laparoscopic surgery (ERALS) programme: patient information and advice 2 This booklet is funded by, and developed in collaboration between University Hospital Southampton NHS Foundation Trust and Pfizer Limited. NPKAM0198 March 2014 Enhanced recovery after laparoscopic surgery

More information

Spinal Injections. North American Spine Society Public Education Series

Spinal Injections. North American Spine Society Public Education Series Spinal Injections North American Spine Society Public Education Series What Is a Spinal Injection? Your doctor has suggested that you have a spinal injection to help reduce pain and improve function. This

More information

Forefoot deformity correction

Forefoot deformity correction Contact us Pharmacy Medicines Helpline If you have any questions or concerns about your medicines, please speak to the staff caring for you or call our helpline. t: 020 7188 8748 9am to 5pm, Monday to

More information

Patient Information. Posterior Cervical Surgery. Here to help. Respond Deliver & Enable

Patient Information. Posterior Cervical Surgery. Here to help. Respond Deliver & Enable Here to help Our Health Information Centre (HIC) provides advice and information on a wide range of health-related topics. We also offer: Services for people with disabilities. Information in large print,

More information

Total hip replacement

Total hip replacement Patient Information to be retained by patient What is a total hip replacement? In a total hip replacement both the ball (femoral or thigh bone) side of the hip joint and the socket (acetabular or pelvic

More information

Local anaesthesia for your eye operation

Local anaesthesia for your eye operation Local anaesthesia for your eye operation A short guide for patients and families. This is for anyone expecting to have an eye operation with a local anaesthetic. It does not give detailed information about

More information

Further information You can get more information and share your experience at www.aboutmyhealth.org

Further information You can get more information and share your experience at www.aboutmyhealth.org OS01 Total Hip Replacement Further information You can get more information and share your experience at www.aboutmyhealth.org Local information You can get information locally from: Taunton and Somerset

More information

Phaco-endoscopic cyclophotocoagulation (phaco-ecp)

Phaco-endoscopic cyclophotocoagulation (phaco-ecp) Ambulatory Care & Local Networks Phaco-endoscopic cyclophotocoagulation (phaco-ecp) Information for patients This leaflet answers some of the questions you may have about combined cataract and keyhole

More information

Posterior Cervical Decompression

Posterior Cervical Decompression Posterior Cervical Decompression Spinal Unit Tel: 01473 702032 or 702097 Issue 2: January 2009 Following your recent MRI scan and consultation with your spinal surgeon, you have been diagnosed with a

More information

Nurse practitioner in surgery

Nurse practitioner in surgery Ophthalmology minor operations Nurse practitioner in surgery Information for you Follow us on Twitter @NHSaaa Find us on Facebook at www.facebook.com/nhsaaa Visit our website: www.nhsaaa.net All our publications

More information

YOU AND YOUR ANAESTHETIC

YOU AND YOUR ANAESTHETIC YOU AND YOUR ANAESTHETIC Information Leaflet Your Health. Our Priority. Page 2 of 8 This leaflet aims to answer some of the questions you may have about your anaesthetic and contains fasting instructions.

More information

Squint surgery in adults

Squint surgery in adults Patient Information Strabismus service Squint surgery in adults This leaflet aims to answer some of the questions you may have about squint surgery. The leaflet does not cover everything as every patient

More information

Peripherally Inserted Central Catheter (PICC)

Peripherally Inserted Central Catheter (PICC) Patient information leaflet Royal Surrey County Hospital NHS Foundation Trust Peripherally Inserted Central Catheter (PICC) Intravenous Therapy What is a PICC? A PICC is a very fine flexible tube measuring

More information

Macroplastique injection for stress urinary incontinence

Macroplastique injection for stress urinary incontinence Macroplastique injection for stress urinary incontinence Information for patients This information sheet answers some of the questions you may have about having a Macroplastique injection. It explains

More information

A GUIDE TO HAVING PERCUTANEOUS TRANSHEPATIC CHOLANGIOGRAM (PTC) AND BILIARY DRAIN/DILATATION/STENTING

A GUIDE TO HAVING PERCUTANEOUS TRANSHEPATIC CHOLANGIOGRAM (PTC) AND BILIARY DRAIN/DILATATION/STENTING A GUIDE TO HAVING PERCUTANEOUS TRANSHEPATIC CHOLANGIOGRAM (PTC) AND BILIARY DRAIN/DILATATION/STENTING WHAT IS PERCUTANEOUS TRANSHEPATIC CHOLANGIOGRAM (PTC) AND BILIARY DRAIN/ DILATATION/STENTING? A percutaneous

More information

Dacryocystorhinostomy (DCR)

Dacryocystorhinostomy (DCR) Patient information Adnexal Dacryocystorhinostomy (DCR) Patient information about an operation to form a new tear drain between the eye and the nose when there has been a blockage What is dacryocystorhinostomy

More information

National Hospital for Neurology and Neurosurgery

National Hospital for Neurology and Neurosurgery National Hospital for Neurology and Neurosurgery Botulinum toxin injections for the bladder Department of Uro-Neurology If you would like this document in another language or format, or require the services

More information

Posterior Lumbar Decompression for Spinal Stenosis

Posterior Lumbar Decompression for Spinal Stenosis Posterior Lumbar Decompression for Spinal Stenosis Spinal Unit Tel: 01473 702032 or 702097 Issue 5: August 2014 Review date: July 2017 Following your recent MRI scan and consultation with your spinal surgeon

More information

Ultrasound or Computed Tomography. PATIENT GUIDE and PREPARATION. Liver Biopsy

Ultrasound or Computed Tomography. PATIENT GUIDE and PREPARATION. Liver Biopsy Ultrasound or Computed Tomography PATIENT GUIDE and PREPARATION Liver Biopsy What is a Liver Biopsy? A Liver Biopsy is a procedure that involves taking a specimen ( a small amount of tissue) from within

More information

Oxford Kidney Unit Peritoneal Dialysis (PD) catheter insertion Information for patients

Oxford Kidney Unit Peritoneal Dialysis (PD) catheter insertion Information for patients Oxford University Hospitals NHS Trust Oxford Kidney Unit Peritoneal Dialysis (PD) catheter insertion Information for patients Why do I need a PD catheter? A PD catheter is required so that you can perform

More information

Chemotherapy. What is chemotherapy? How does it work? What is cancer? How will I be given chemotherapy? Cannula

Chemotherapy. What is chemotherapy? How does it work? What is cancer? How will I be given chemotherapy? Cannula INFORMATION SHEET This information sheet has been written to help you understand more about chemotherapy. The sheet discusses the support and information your doctors, nurses and the Cancer Society can

More information

Broström Lateral Ligament Reconstruction of Ankle

Broström Lateral Ligament Reconstruction of Ankle Broström Lateral Ligament Reconstruction of Ankle This leaflet aims to answer your questions about having a broström lateral ligament reconstruction of ankle under the care of Mr Sam Singh. It explains

More information

Treatment for bladder tumours - transurethral resection of a bladder tumour (TURBT)

Treatment for bladder tumours - transurethral resection of a bladder tumour (TURBT) Treatment for bladder tumours - transurethral resection of a bladder tumour (TURBT) You have had a cystoscopy or other examination that has shown that you have an abnormal area (tumour) in your bladder.

More information

Laparoscopic cholecystectomy. Golden Jubilee National Hospital NHS National Waiting Times Centre. Patient information guide

Laparoscopic cholecystectomy. Golden Jubilee National Hospital NHS National Waiting Times Centre. Patient information guide Golden Jubilee National Hospital NHS National Waiting Times Centre Laparoscopic cholecystectomy Patient information guide Agamemnon Street Clydebank, G81 4DY (: 0141 951 5000 www.nhsgoldenjubilee.co.uk

More information

Total knee replacement

Total knee replacement Patient Information to be retained by patient What is a total knee replacement? In a total knee replacement the cartilage surfaces of the thigh bone (femur) and leg bone (tibia) are replaced. The cartilage

More information

Cheekbone (zygoma) and/or eye socket (orbit) fracture surgery

Cheekbone (zygoma) and/or eye socket (orbit) fracture surgery Ambulatory Care & Local Networks Cheekbone (zygoma) and/or eye socket (orbit) fracture surgery Information for patients You have been treated in the Emergency Department for a broken (fractured) cheekbone

More information

V03 Varicose Veins Surgery

V03 Varicose Veins Surgery V03 Varicose Veins Surgery What are varicose veins? Varicose veins are enlarged and twisted veins in the leg. They are common and affect up to 3 in 10 people. More women than men ask for treatment, with

More information

Discharge advice after implantation of a Spinal Cord Stimulator

Discharge advice after implantation of a Spinal Cord Stimulator Department of Neurosciences Discharge advice after implantation of a Spinal Cord Stimulator Information for patients Going home Going home after implantation of a Spinal Cord Stimulator can feel a little

More information

Ulnar Nerve Decompression/Transposition

Ulnar Nerve Decompression/Transposition Department of Neurosurgery Ulnar Nerve Decompression/Transposition What happens when you are in hospital page 2 Ulnar Nerve Decompression/Transposition This leaflet explains what to expect when you are

More information

Gastroscopy the procedure explained

Gastroscopy the procedure explained Gastroscopy the procedure explained Exceptional healthcare, personally delivered Introduction You have been advised by your GP or hospital doctor to have an investigation known as a gastroscopy (OGD).

More information

Transrectal Ultrasound (Trus) Guided Prostate Biopsies Urology Patient Information Leaflet

Transrectal Ultrasound (Trus) Guided Prostate Biopsies Urology Patient Information Leaflet Transrectal Ultrasound (Trus) Guided Prostate Biopsies Urology Patient Information Leaflet Page 1 What is the purpose of my appointment? Your doctor has informed us that you have an elevated Prostate Specific

More information

Peripherally Inserted Central Catheter

Peripherally Inserted Central Catheter Peripherally Inserted Central Catheter (PICC) by Patricia Griffin Kellicker, BSN En Español (Spanish Version) Definition A peripherally inserted central catheter is a long, thin tube that is inserted through

More information

Inferior Vena Cava filter and removal

Inferior Vena Cava filter and removal Inferior Vena Cava filter and removal What is Inferior Vena Cava Filter Placement and Removal? An inferior vena cava filter placement procedure involves an interventional radiologist (a specialist doctor)

More information

Local Steroid Injections to Joints and Soft Tissues. Rheumatology Patient Information Leaflet

Local Steroid Injections to Joints and Soft Tissues. Rheumatology Patient Information Leaflet Local Steroid Injections to Joints and Soft Tissues Rheumatology Patient Information Leaflet Welcome to The Dudley Group Rheumatology department. This leaflet will provide you with information about what

More information

Percutaneous Abscess Drainage

Percutaneous Abscess Drainage Scan for mobile link. Percutaneous Abscess Drainage An abscess is an infected fluid collection within the body. Percutaneous abscess drainage uses imaging guidance to place a thin needle through the skin

More information

A Patient s Guide to Post-Operative Physiotherapy. Following Anterior Cruciate Ligament Reconstruction of the Knee

A Patient s Guide to Post-Operative Physiotherapy. Following Anterior Cruciate Ligament Reconstruction of the Knee A Patient s Guide to Post-Operative Physiotherapy Following Anterior Cruciate Ligament Reconstruction of the Knee Introduction The anterior cruciate ligament (ACL) is one of the main supporting ligaments

More information

Patients who fail to bring a driver/someone to stay with them for the night will have their procedure cancelled immediately.

Patients who fail to bring a driver/someone to stay with them for the night will have their procedure cancelled immediately. Preparing for your Colonoscopy You must have someone and/or a driver accompany you and stay with you for 24 hours after your procedure. Patients who fail to bring a driver/someone to stay with them for

More information

The Horton General Hospital, Day Case Unit After a laparoscopic cholecystectomy Information for patients

The Horton General Hospital, Day Case Unit After a laparoscopic cholecystectomy Information for patients The Horton General Hospital, Day Case Unit After a laparoscopic cholecystectomy Information for patients Today you have had a procedure called laparoscopic cholecystectomy. This means that your gall bladder

More information

Acute Oncology Service Patient Information Leaflet

Acute Oncology Service Patient Information Leaflet Spinal cord compression Acute Oncology Service Patient Information Leaflet Introduction If you have been diagnosed with cancer, you need to know about spinal cord compression and the warning signs. What

More information

Spinal Cord Stimulation

Spinal Cord Stimulation Spinal Cord Stimulation Relieving Chronic Pain If chronic pain restricts your life, you may have tried many ways to find relief. This may include medications, nerve blocks, physical therapy, and surgery.

More information

Ultrasound. PATIENT GUIDE and PREPARATION. Thoracentesis

Ultrasound. PATIENT GUIDE and PREPARATION. Thoracentesis Ultrasound PATIENT GUIDE and PREPARATION Thoracentesis What is a Thoracentesis? A Thoracentesis is a procedure that involves using a needle to drain fluid from either within the lungs or the surrounding

More information

Oxford Eye Hospital. Squint surgery. Information for Adult Patients

Oxford Eye Hospital. Squint surgery. Information for Adult Patients Oxford Eye Hospital Squint surgery Information for Adult Patients This leaflet aims to give you some essential information about the surgery and your stay in hospital. What is a squint? Eye movement is

More information

Eye instructions. Golden Jubilee National Hospital NHS National Waiting Times Centre. Pre operative patient information guide

Eye instructions. Golden Jubilee National Hospital NHS National Waiting Times Centre. Pre operative patient information guide Golden Jubilee National Hospital NHS National Waiting Times Centre Eye instructions Pre operative patient information guide Agamemnon Street Clydebank, G81 4DY (: 0141 951 5000 www.nhsgoldenjubilee.co.uk

More information

ADJUSTABLE SQUINT SURGERY

ADJUSTABLE SQUINT SURGERY ADJUSTABLE SQUINT SURGERY Information Leaflet Your Health. Our Priority. Page 2 of 8 Introduction Adjustable squint surgery is an alternative to traditional squint surgery. It has a better success rate

More information

PICC- Peripherally Inserted Central Catheter PROCEDURAL CONSENT FORM. A. Interpreter / cultural needs. B. Procedure. C. Risks of the procedure

PICC- Peripherally Inserted Central Catheter PROCEDURAL CONSENT FORM. A. Interpreter / cultural needs. B. Procedure. C. Risks of the procedure DO NOT WRITE IN THIS BINDING MARGIN v3.00-03/2011 SW9266 Facility: PICC- Peripherally Inserted Central Catheter A. Interpreter / cultural needs An Interpreter Service is required? Yes No If Yes, is a qualified

More information

what is an abortion where can I go for help? SAMPLE do my parents have to know?

what is an abortion where can I go for help? SAMPLE do my parents have to know? where can I go for help? what is an abortion? ask brook about abortion do my parents have to know? ask brook about abortion Finding out that you re pregnant might just be the news that you ve been waiting

More information

OUTPATIENT HYSTEROSCOPY SERVICES JASMINE SUITE

OUTPATIENT HYSTEROSCOPY SERVICES JASMINE SUITE OUTPATIENT HYSTEROSCOPY SERVICES JASMINE SUITE Information Leaflet Your Health. Our Priority. Page 2 of 6 This information is for patients having a hysteroscopy (diagnostic or operative). It explains what

More information

Enhanced recovery programme (ERP) for patients undergoing bowel surgery

Enhanced recovery programme (ERP) for patients undergoing bowel surgery Enhanced recovery programme (ERP) for patients undergoing bowel surgery Information for patients, relatives and carers An enhanced recovery programme (ERP) has been established at Imperial College Healthcare

More information

NHS. Blackpool Teaching Hospitals. NHS Foundation Trust. What is a Squint? Patient Information Leaflet. Ophthalmic Day Surgical Unit 01253 957420

NHS. Blackpool Teaching Hospitals. NHS Foundation Trust. What is a Squint? Patient Information Leaflet. Ophthalmic Day Surgical Unit 01253 957420 Blackpool Teaching Hospitals NHS Foundation Trust NHS What is a Squint? Patient Information Leaflet Ophthalmic Day Surgical Unit 01253 957420 WHAT IS A SQUINT? Six muscles control the movement of the eye.

More information

Elbow Joint Replacement A guide for patients

Elbow Joint Replacement A guide for patients Elbow Joint Replacement A guide for patients GATESHEAD UPPER LIMB UNIT Mr Andreas Hinsche Mr John Harrison Mr Jagannath Chakravarthy Page 1 of 7 The elbow joint The elbow consists of three bones; the humerus

More information

Your knee: Rheumatoid arthritis or osteoarthritis?

Your knee: Rheumatoid arthritis or osteoarthritis? Your knee: Rheumatoid arthritis or osteoarthritis? Age Rheumatoid arthritis can come on at any age while osteoarthritis usually starts later in life. How does it start? Rheumatoid arthritis comes on rapidly

More information

Cardiac Catheter Lab Information for patients having a Coronary Angiogram

Cardiac Catheter Lab Information for patients having a Coronary Angiogram Cardiac Catheter Lab Information for patients having a Coronary Angiogram Page 1 of 5 What is a Coronary Angiogram? This is a test that uses dye and special x-rays to show the inside of your coronary arteries.

More information

CONTENTS: WHAT S IN THIS BOOKLET

CONTENTS: WHAT S IN THIS BOOKLET Q Questions & A & Answers About Your Prostate Having a biopsy test to find out if you may have prostate cancer can bring up a lot of questions. This booklet will help answer those questions. CONTENTS:

More information

Skin biopsy. Delivering the best in care. UHB is a no smoking Trust

Skin biopsy. Delivering the best in care. UHB is a no smoking Trust Skin biopsy Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm A skin biopsy is a

More information

What are the benefits of having a vasectomy? Are there any risks involved in having a vasectomy? At your out-patient consultation

What are the benefits of having a vasectomy? Are there any risks involved in having a vasectomy? At your out-patient consultation Having a Vasectomy Vasectomy You have chosen to have a vasectomy. This involves severing the tube which connects the testes (where sperm is produced), to the penis (from where they are ejaculated). Vasectomy

More information

Eye Injuries. The Eyes The eyes are sophisticated organs. They collect light and focus it on the back of the eye, allowing us to see.

Eye Injuries. The Eyes The eyes are sophisticated organs. They collect light and focus it on the back of the eye, allowing us to see. Eye Injuries Introduction The design of your face helps protect your eyes from injury. But injuries can still damage your eyes. Sometimes injuries are severe enough that you could lose your vision. Most

More information

Insertion of a Peripherally Inserted Central Catheter (PICC Line)

Insertion of a Peripherally Inserted Central Catheter (PICC Line) Insertion of a Peripherally Inserted Central Catheter (PICC Line) Patient Information Introduction This booklet has been written to provide information to patients about to have a peripherally inserted

More information

Hysteroscopy (Out Patient, Day Case or In Patient)

Hysteroscopy (Out Patient, Day Case or In Patient) Hysteroscopy (Out Patient, Day Case or In Patient) Exceptional healthcare, personally delivered Introduction This leaflet explains the procedure of hysteroscopy. If you have any other questions do not

More information

Meatoplasty/Canalplasty

Meatoplasty/Canalplasty Meatoplasty/Canalplasty What is a meatoplasty/canalplasty and why do I need this operation? This operation is performed to widen your ear canals so that they do not get blocked with wax and debris. It

More information

Undergoing an Oesophageal Endoscopic Resection (ER)

Undergoing an Oesophageal Endoscopic Resection (ER) Contact Information If you have an enquiry about your appointment time/date please contact the Booking Office on 0300 422 6350. For medication enquiries please call 0300 422 8232, this is an answer machine

More information